HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
JPJJP,POSED IMPROVE
- -
Address: 8316 BELFRY PIE PORT SAINT LUCIE FL 34986
Property Tax ID p: 3327 7010008 0001
Lot No. 5
Site Plan Name:
Block No.
Project Name: HITE'S RESIDENCE
CHANGE OUT BACKDOOR - NO SIZE CHANGE
New Electrical Meter Second Electrical Meter
CONST
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters X Windows/Doors
_Pond
_Electric _Plumbing _Sprinklers _Generator _Roof
Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2.711.50 Utilities: —Sewer —Septic Building Height:
R .
Name RAYMOND HITE Name: JAMES DDAVIS
Address: 8316 BELFRY PL J&G CARPENTRY INC
City: SAINT LUCIE State: L Address: 13461 79TH CT N
ELL
Zip Code: 34986 Fax: City: WEST PALM BEACH
State: FL
Phone No. 772 206 2223 Zip Code: 33412 Fax:
E-Mail: Phone No 561-855d052
Fill in fee simple Title Holder on next page ( if different E-Mail
from the Owner listed above) State or County License CGC 022831
R value of consbuctian Is 2S00 or more, a RECORDED Notice of Commencement Is required.
If value of HAVC is S7,S00 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
DESIGNER/ENGINEER:
Name:
x Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address:
Address:
City:
Zip: Phone
State:_
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY:
Name:
x Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recordine vour Notice of Commencement_
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Con4r/License Holder
STATE OF FLORIDA
STATE OF FLCMIDA
COUNTYOF
COUNTYOF Yaltvx PYL lot J-.
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or_Online Notarization
s' Physical Presence or Online Notarization
this_day of 2020 by
this ladayof ..jpp.uR� 2030 by
.JAM[5 W Oe:Uis
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification_
Personally Known, OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida )
(Signa re of No ry Pu c- State of Florida )
Commission No. (Seal)
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MANGROVE
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REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. o/a/cu
FLORIDA JURAT
FS 117.OS(13) — c(fettive January 1, 2020
State of Ronda
County of PAI M RFA('.H
Swam to (w affirmed) and wbscribetl before me by
means at
® Physical Presence,
—OR—
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JAMES D. DAVIS
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Type of identification Produced:
Place Notary Seal Stamp Above
Completing m,§ infimration can deter aterotion of the document or
fraudulent recaocnment ofdris firm M an ,n/menden document.
Deaviption of Attached Deeument
Tale or Type of Document
NurnWr of Pages:
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0=9 National Notary Assoruation